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3242 Black Oak Drn ? f fIR .... t f?V F ?] I-fit: +y I,. #.?N ki i Nt} ;p?r?nnit 1?. ? t??? . . _ ? _ ? . .? , ww .- e . ? .,. ,. . . : ? . , _ .. .. _ , . . ,,., . ? WL ? rdw FOW Pft pft USPBCW - ikleW PIErber . GwtaL ?r E'ngrPlan Bktq. Firtal Deck F'tg. t7eCk Finei wen Pr. L7lsp. ? ? ?? ?_ ? I il ? e 1?P W.'emfica#e nf cccupanc4 This Cernificate issued pursuant to the requirements of the Uniform Building Code certifying that at the tvne of issuance tliis struciurr was in compliance with the various ordinances of the City regulating building construction or use. For the following: SF I7WG 20981 use Classiecation: awg. e?,it xo. R3/Ml R! VN CMSL ??g MARK 0F F?Q.IFd?IifiES A? 2779 75IA ST E, IQ3 ?,:, Budffm Addrm 3 vZHIOAK DRIVE ?Ty , B8, B[JR C1AK HIILS ?ID Data BWkfmg Officia? POST IN A CaNSPK:UOU5 PLACE Address 3242 N-ACK Oax D-RM Zip 5512 I L,at' 3" Blk 8 Sub sUtt oAtt =s 2rID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final gracie (6" from siding) Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway Permanent gas L/ Soc€/Seeded grass Trail/curb damage Porch V/ Basement finish Deck L Please vcrify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawss faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righi-of-way or installing undergmund sprinkler system. ? White - City Copy Ye1low - Resident Copy Pin?c - Contractor Copy .... %. .. .. ..,.,_ /U (0 o -/ ? L 39819.1UL 261993 3 ? Request Date , Fire No. 1 Ro h-in Inspection q D Ready Now Will o Inspector = No 9c, When Ready? I >4tcun"sed contractor D owner hereby request inspection of above electrical work at: Job Adtlress (Sireet. Box or Route No.) ? ? 611cK .? ?. City leli,4? Section No. Township Name or No. rnge No. Counry Occupant(PRINT) `,?K ??' PYk `` C? Y6 ? Power Supp6er Y`? J ? I Address Elettncal Contractor (Company me) ContractOr$ License No. - KA ? o Ma,in Addr s iContractor or Own r aking Instauation7 !/:j,, Auth nze Signature ICoMractw%Ow aking tnstalla 1 Phone Number _ ? ? _1 VTl_ - 716 MINNESOTA SGTE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642•0800 ENCLOSED. J U L 2 6 1993REQUEST FOR ELECTRICAL INSPECTION ea•oooo,•oe //0 ? ?? ? See instructions tor complating this form on back of yellow copy. 819 "X" 8elow Work Covereci by This Request Iiip 3 ew Add fiepr! " Type of Building AppliancesWired EquipmentWired Home Range Temporary 5ervice Duplex Water Heater Electric Heating Apt. Building Dryer OtheF-{Specity) Comm./Industrial Furnace Farm Air Conditioner Other (Speaty) Contractor's Remarks Compute /nspection Fee Below: # Other Fee # Service Entrance Size FeQ; # CirouitslFeeders Swimming Pool k 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps boyio- 109-?_ Amps Signs Inspector5 Use Only: ? TOTALQ? ^/ Irrigation Booms ?' SU Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OFISERED,? SeONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MOAI'?'FlS, f?, ?; I, the Electricai Inspector, hereby if h Rou9n-in • ? oace _? f r?? y t cert at the above inspection has been made. Final o e OFFICE USE ONLY This request void 18 months from .... w w iwww PERMIT ? GITzY OF' EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 881-4675 PERMlT TYPE: Permit IVumber: Date Issued: u ING 020841 Q!b/08/43 SITE ADDRESS: P . I . N . : 10-15501-090--08 DESCRIPTION: Z:0:1 3242 sLAcK oAK aR LQT: 3 BLOCK: 8 BUR QAK HILLS 2ND Permit Type >44,01rk Type pa?t ti?h -T 60 52 ?'?a ? ? a..»1 ?? , . REMARKS: S&W CONTRACI"OR - LAKESIDE PLUMBLlVG FEE SUMMARY. Ba6e Fee Pian Review Surcharge SAC SAC % SAC Un.its Lic. Search Fee Sub tatal $2,111.3.8 SF DW6 iV E W R-3 M-1 VN R-1 $140,0ee MISC FEES CUPY Total Fee $1,7Q4.54f 1.50 $3,856.18 s't M ?wFe! SuP.SA' '.4ll??J Si-:-V LagV(R{ nM11*P?? F . .'. t? ? -- APPLICANT/PERMITEE SIGNATURE ISSUED Y: 91GNATURE vALuarraN $i79.5@ $506.68 $70.00 $750.00 10e 1 $5.00 / REACTIYRTE PERMIY t ? C1TY OF EAGAN ??'°= r. ? 1993 BUtLDI?VG PERMIT AP ??;?'D 681-4675 A PR 2 9 193 ___ V3 SINGLE & MULTI-FAMILY 2 sets of pians, 3 registered site surveys, 1 copy of energy cal cs . COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit i5 typed, but not picked up by last warking day of month- in which request is made, 2} address is changed or 3) lot change is requested once permit is issued. Qate Val uat i on af work 1Z5ca 0 Site Address: Dr21- . S7REE! SUITE 0 Tenant Name: (commercial only) IAT BIACK ? SUBD. Descri tion of work: ??4u 1?6}me- The appl i cant i s: E7 Qwner 14 Contrattor 0 Othe1' (DesGriee) Name ?Siznr_..? ?? ??-??f??,?n. ? Phone ?z/- 3s ?? Property `AsT FIRST Owner Address a?po rL ; `?. ?-3ob STREET STE N City 606_?I.; State M_x) Z i p Company /?41zlz Phone ???r Gontractor Address ???? ?STH :5.,.e,i- L;cense #,66660,9,7 Exa.?_ City State M P--? Z i p Company Phone 14rChftect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is twa days ance area has been approved'. I hereby acknowledge that I have read this applicatiQn and state that the informatian is carrect and agree to comply with all applicable State of Minnesota Statutes and City af Eagan Ordinances. . ? ?? Signature of Applicant: OFFICE USE C3NLY , BUILDING PERMrT TYPE O OI Foundation E3 45 Duplex ? 11 Apt./Ladging ? 16 Basement Finish 13r 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swsm Roal ? 03 SF Addition Q 08 8-Rlex ? 13 Garage/Accessary ? #.8 Comm./Ind. D 04 SF Porch a 09 12-Rlex ? 14 Fireplace ? 19 Canm./Ind. Misc. ? 05 SF Misc. 13 10 Multi. Addll. ? 15 Deck ? 20 Public Facility CI 21 Miscellaneous W4RK TYPE A 31 New ? 33 Aiterations ? 35 tenant Finish ? 37 t}emolish ? 32 Addition ? 34 Repair O 36 Mave GENERAL INF QRMATiON , Gonst. (Actual) v- M Basement sq. ft. MIWCC System YES (Allowable) v- lst F1. sq. ft. City ?later ? UBC Occupancy -? 2nd F1. sq. ft. PRY Required Zoning R_1 Sq. Ft. total Booster Pu?np # of Stories- Footprint Sq. ft. Fire 5prinkler Length 60 On-site well Gensus CQde Depth g2. On-site sewage SAd?1?' _L ? APPROVALS Pianning Building Assessments Engineering Variance REQUIRED INSPECTlONS O Site D Wallboard ? Faoting ? Final ? Framing ? Draintile Cl Insulation ? Fireplace Permit Fee v?luacion: & Iy0 , t??? ? Surchar9e Pl an Rev i ew Zr.,'D 17LLY0 p- License MW AC ?-- ? x t2. = (zy? - 79 CC 5 city sAc ??? ???je?? Z ???x I ??r?, ,? .,. Water Gonn. I?sr?T; '76q x/? 2 ?cf?'x'?- ?v Water Meter . ?- -- -- Acct. Deposit Z2x :36 =?92 geqx 5Y= S/W Permit 5/W Surcharge ??7, x F "- 4 41 Z26? .-- . i'reatment P1. Road Urt i t '?32 x1s= ? --- Z9 `z- 139 Park Ded, , Trails Ded. 2y ?C 30 ? -?2o Copies 7= Other Total : SAC % SAC Units 7 d _ ..._? • ? u nrr?.-!?-?,?r°?? ?r1 . - ??xr'?(? 38yZc? ,6? K -• ? ." • , ' • ., . ' • k;YTL•'IdiOlt F.NVL[AP1; AVI:INGE ••U•` CQ:4['U'i'ATION ? r,w??r•,?t __ - si•rL nDniu:ss LoT 3, SLOr? ?RuJZ-e OAk PIcL5. ZA,b Abuizzor.r r ? caNTR+crorr ,..b_&4 OF x?- __ •i???? 3?.4/? /?- - - - DATe Deterrt?ine Working square Eoatage of eacli. 2. Total exposed uall arc:a .........!?? ft. x 2. Total roof.ceilinq area ...... _/?c? Y•0 -Sy. Et. x .025 a .??• ? Total exposed wall area above Eloor .• a. Total walg window area . . . . . . . . . . . . . . . . . . . . . . . . . . . • . • . . . #e b. Total doar acea ........................................... c. Total siiding giass door'area ............................. ij. Total Cireplace wail area ................................. - ? e. Total wall Eraming area (average lDt) ..................... f. Total net wall area abave fl.oor ........................... . g. Total rim joist area ...................................... . Total exposcd Eoundation arca ? h. Total Coundation window area................................ i. Total net founuation area above gradc :... ...............•. ??Q•? - petermine °U" valuc of each waxl segment. XOU.. `, a. • x nVH -&Ny(???Li JI? .. . • D C x .1uN . ? 3 O . C. d. 0 X '6u.. . _ • RUp ?! ?` _ ??? • cA. /y s._???•D x Hua. '?•???=?'--•-?- x U. ` . ..__ .. ?? 3 .................... .............-...T" tal If itein M1 is tl?a sarnc as, or Lcs:; tlwit item NL. yaie h.tivu m.et r:hc i,nt4nt? o[ 5BC GOOf, (c) 2 .b&u 4- / 3?) 4:, 0 0 & (C? a Total exposec3 roaE/ceiliny area = /'?r?f?? ? ?_ j. TQtal skylight area ....................................... 0 k. 1btal root/Ceiliny Eraminy arc;a iavecacje it)'wa ..... .... .... e?E2• 1. Total nct insulatcd roof/ceiliric) area ..................... /. ? Detvrmine "U" valua for cach rao€/eciLiny seynent. .. x..u„,_ a = D k. /3?• i? x "u.. x Mu., 7_ 4 ............................ . ......Total = ??j?'•D If total af 14 is the same as, ar less than 12, you have met the intent of 58C 6006 (01. ?/ ??. D,? G. ?3 0't.p_ °'`-&,f . Alternate 8uildinq Envelape [lesign To utilize the tatal enveldQe systern meChocl, the valties rstablish•.!d hy the su,y? of items R3 and 14 shall not be greater than the surn vf itemy K1 and 03- 1. + 2. ' „? • ,? = o?? •, , . .3. . 2 oS. 3 + 4 . . ? • ? ?. - . •?;?? . : .?b?. .d'`•?t? '? y` . ? . ; ., . , : .. j . . , . .:;., .? ?x ?....._._. 4 4 ? ?Q?? `?iA?W?ns ndaiAND siuAYeYoAs p IENGINEERING CaMPRNY, iNC. 1000 EAST 1481h BYREET, ?yfq,p,? a? ExcE?CE 110'J'lE ?fd/Cd0S iRe• ? 2 M. Z9 ? BURNSVILLE, I+IINN€sOTA 5533l Pli 432'3000 CERTlFICATE OF SURVEY Legal DeSCI'lptlOn: LOT 3?__OLcCu_ .._ YALI. 2ti_I2 ,qt?t?lrIo?cJ. D 7'.4 C.ovd17Y^Mt A.J n?cSn-re ? ( a fl,-o ) DCNOTES EXISTING ELEVATION { W. S ) DENQTES PRQPOSED ELEVATION ,_,.----- INDICATES DIREGTIQN OF SURFAGE DRAINAGE 898. 3=FINISHED CAAAGE FLOOa ELEVATION 89/, - 9ASEMENT FLOUN ELEVATION '1. 3= TOP OF FC?UNDATION ELEVA'f iON sCALE: 4' - 30' X-/wGH/V,E'< ' TNW cO L3-L4, B R. EGEI/, = 897.9,0 34 FT. APANT 9v/LPlrt/'6 $ETj,WGk 41IVE i 30. oo `.? • f t t n ($95? ?ug= 8q5.95? ?g9 S t? ? ? [qoo,3? (D2i.s7 /45.67 ra9?.?? ??oa,-3, +n ? ` s,s g zb.33 . $ ,?96l?? ? •. \? _ r .- ? z4.ara q ?.? o ? 8 Q f _'C I ?v y, ?v N Zz,ao Ig ? o `?9. ` 10 Ul ;? ?, _._._- _ ..--- = • r?p3,?? ?8`0/? ??76.,? C?so, ?3 I 0 /53, 67c?r7,b? ?97.-?? o ?, ? (89b,15 jr/ q9° 511 4-$'C . /LrT Y ?'.9.5'EM, -,,??.wr,.. _ ?"' ] ? . X_,?.?:I,?,?'? ??::r?NE??:? ? I???=•??` T I hereby cortif lY?revn. correct i? o2 ?, trd?y o? land as shawn AP9IC r 1 g 93 • , ?.. ? . Minn. Reg. No. 4,0 J ca N 4 > ui ? Cd w J ? m cn ? 4 z D 2 LQT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEf3AL: DOCUMENT STANDARDS / f ' Date of Survey: BI? o • Registered Land Surveyor signature and company 2"11 ? • Building Fermit Appl.icant 0'-o0 11 • Leqal description ? CY`0 - Address iroo'? 0 • North arrow and bar scale oe''M 0 • Hause type (rambler, walkout, split w/o, split entry, lookaut, etc.) I'?l7 ? • Da.rectional drainage arrows with slope/gradient ?. 0 Gi-''? • proposed/existing sewer and water services Ci'' 0 0 • Street name 0''-L7 ? • Driveway ELEVATiaNs Existinct D Ce'0 • * sewer service ? 0 • d Lat corners ?? ? • Top af curb at the driveway C!r ?? • Elevations of any existing adjacent homes Proposed ?0 ? • Garage floor ? C] ? • First floar Lowest exposed elevation (walkaut/window) ,0' C] ? • Praperty carners ,0- 0 0 • Front and rear af home at the foundatian PONDxNG AREAS (if apnTioable) ? ? ? • ? ? ? • Easement line NWL ? ? ? • HWL ? ? 0 • Pond # designation ? 0 • Emergency Overflow Elevation DIMENSIONS 0'?0 0 • Lot lines ?? ? • ? Right-af-way and street width (to back of curb) L 0? • Praposed hvme dimensians including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) Q?? ? • Show all easements of recoxd and any City utilities within ?? ? those easements tb k f d t • o a jacen Setbacks of proposed structure and se ac ?? • existing Retain?yrfj??? r irements, if any Reviewed na October 1992 * 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF FAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 FLEASE GQMPLETE FQR SINGLE FAMILY DWELLINGS. ALS4, F4R T4WNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EAGH UN1T• NO. FIXTLTRES loz SHOWER 3 WATER CL4SET ?- BATH TUB ? LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/5FA WATER HEATER / FLOOR DRAIN GAS PIPING QUTLET • minimum -1 3_ ROUGH 4PENINGS WATER SQFTENER PRIVATE DISP. • nak.ety. uc. U.G. SPRINKLER • nome under const. ALTERATIONS • co ?cing WATER '1`L.7RN AROUND STATE SURCHARGE TOTAL: EAGH 3.00 3.Q(1 ? . w 3.0(! ? . w 3.00 3.00 3.00 ,3 ,sJ 3.00 3.00 3.(j0 3.t}0 ;3 . ?.v 1.50 '?• S? 5,00 15.00 3.00 15.00 15.00 .50 ,Sr3 . uv SITE ADURrS5:_ 3,)'Y aZ "3 ?-re- K o r4Jc- a v2 OWNER NAME: /J-2VAoC INSTALLER: 1-IXe5 itJ e- o'.AIJ G .d.DDRESS-,_„ /ar y6 ? ??/ ?^? 4&'e- s `a - CITY: STATE: ? ? . . ZIP GODE: •??`.??? PHONE #: (G/') ) SIGN URE OF PERM EE 0- jr. , 1993 PLUMBING FER,MIT (COMMERCIAI.) CITY UF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 FLEASE COMPLETE FOR ALL CQMMERCIALJINDLISTRL4L BUILDTNGS. ALS4 FOR MULTI- FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIREI] FOR EACH DWELLING UNIT. NEW CQNSTRUGTION ADD ON REPAIR WOl2K DESCRIFI7ON: CON'I'RACT PRICE: ? FEE: 1% OF GONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF .`... ?!.....` _.. ? FF,E. _ ... .. ....... : MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ T4TAL $ SI'I'E ADI?RESS: TENANT NAME: STE. # UWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CUIyE: PHONE #: FQR: Cl'1'Y OF EAGAN APPLICANT PLEASE C4MPLETE FOR SINGLE FAMII.Y DWELLTNGS. ALSO, FOR T4WNHaMFS AND C4ND05 WHEN PERMITS ARE REQUiREI? FOR EACH UNTT. x NEW C4NSTRUCTIQN ADD-ox A/e ? ADD-ON FURNACE DATE 7r7i9s HVAC: 0-100 M BTU ADDITIONAL 50 M $TU GAS QUTLETS (MINIMt]M 1@$3.OQ EACH) (4) (RANGE, DRYER, FIREPLACE, FURNACE) ADD-dNIREMODEL (EXISTING CONSTRUCTiON) STATE SURCHARGE TOTf1L FEES $ 24.00 6.00 12.00 $ 15.00 .50 36. 50 STTE ADDRESS: 3242 BLACK OAK DRIVE OW-IrTER NAIvIE: MARK OF EXCELLENCE HQME BLDRS.TFJXPHaNE #: 450-0867 INSTALLER: METRO AIR, Inrc . ADDRESS: 16980 wELCOME AvE. sE. CIT"Y: P R I O R LAK E,, STATE: MN. ZIF CODE: 5 5 3 7 2 TELEPHONE #: 447-8124 - Q7,4,4?-. --- - - SI NATiJRE aF P 1993 MECHATIIGAI. FERNIIT (RESIDENTiAL) CITY OF EAGAN 3830 PILC)T KNOB RD EAGAN MN 55122 (612) 681-4675 -?r--, s` _ e 1993 MECHANICAL P'ERMIT (CUMMERCIAL) CITY OF EAGAN 3830 PILO"T KNAB RD E.AGAN MN 55I22 (612) 6814675 PLEASE CQMPLETE FOR ALL COMMRCW-ANDUSTRLAL BUILDiN+GrS. ALSC) GOMFLETE F(3R APARTMENT BUILDINGS OR 4THER MLJL'I'I-FAMILY B[IILDINGS WHEN SEPARATE PERMTTS ARE NOT RE4UIRED FOR EACH DWELLING iJNIT. ._________.?...........__.___..??..__?_.._._.?._..?.r...?........ DATE: CONTItACT PFLICE: $ NEW BUILDING INTERIaR IMPR4VEMENT WORK DESCRIFTION: FEES 1% fJF ?????»:;<:.?>.:;:::.;?.:::::;:_:_.?_. '! FEE $ ..:;, PROCE55ED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 F(7R EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPH4NE #: TENANT NAME: (IMPRUVENIENTS ONLY) INSTAI.LER: ADDRFSS: CITY: S'I'ATE: ZIP CUDE: TELEPH4NE #: SIGNATURE (aF PERMITTEE CTTY INSPECTOR Altera'tbn6 tp wdst! vrink um be Deudte: .G:f B8th tIJII Fi00i dP8ln Gft E 111 G" " miniPrwrn - 4 HO't tIJb/S " .00 ; 1 it144When sIF1k ' . . . " , 100 . x A.,-? LaUnd " . . . . . . .VV . X , - -? 3y0 ?R Th y t . .. ,. Se C stern mwrMufbbw, "m4o#upe NV. I?t 0 . .. : x ; . v. ? e T . " . ?t?C17 AbgndOnment w x sx : .. - RPZ WA[ lns"a'#??? bYWAd1 ? 00. RO h G eF1111 1,50 - X : . . ? ? _ . Shawer 3,w U!1 iYlUCICI $ f1l1kle? ?*mwl t5 W1xdw CQriatPUCtio1 x . Un round r?kler impotwg ` dwNhr?? 30 :t?- x Water cbset 3:00 Water Iteater . ' X = ? ? . .? . Water saftsner . l1 d!?ut? Ar+dw 48"MikMon x U1mter soflener I# e? J ??14 x .. , ? Waber tumaround x SAwe Surcharge ? ToUl -? . , -?? . --? . . -? :? `': .. .. ` - ' . RmIlfder: CWl for !? of-eWwaftm;` i.&: wow`hNA&M w4w , f*.,#*:4 . c1TY: - %ll1 aa El 5'TATE . ?: . .? ?MA'fUF*,004 kefoom ? t A?9 C"6 `l 2007 RESIDENTIAL BMDING PERNII'F APPLICATION City Uf Eagan 3834 Pilot Knob Road, Eagan MN 55122 Telephone # 551-675-5675 FAX # 651-675-5694 New Construc6on Reauiremenls 3 regis#ered srte surveys showing sq, ft, of lot, sq. ft. of house; and zlI roofed areas (20% rnaximum fot coverage aflawed) 1 Soils Report if pr4posed huilding is ta be placed on dislurbed soil 2 eopies of plan showing Deam & wiRdow sizes; patred taund design, elc. 1 secof Energy Calcu4atians 3 copies of Tree Preservation Plen i( lot pfatted afler 7i1193 Fiim Joist Detail Options selec6on sheet (buildings with 3 or less units) Minnegasco mechanical venblaaon farm Plans are considered Date 7 1 ? / Si#e Address (?'?' o- c RemodeVReoair Reauirements 0#fice Use..0 nk 2 wpies of plan showing tootings, 6eams, jaisls CeltnfSu(vey Rpcd `. -Y '-.N 1 sel of Energy Ca[culations iar healed addibons Soas RePod N 1 site survey for addidons & dedcs Tree Pres PfanRed : Y=R Addifian •)rdcate rf ort•site sepGc system 7ree Ptes Requu'?i Y? N Oa-s? SeptlC 5yst?m ..:_ Y; -: N ic information unless au state the are trade s?cret and the reasan, Consteuction Cost Unit/Ste # Description of Work Multi-Family Bldg - Y _L1 N Fireplace(s) _ 0 _ 1 - Z Property Owner r Telephone # ?-?- 0 ;2- J G/, il% 0- v Contractor Address Cfty State Zip T ') T Telephone # COMPLETE TH1S AREA ONLY 1F CONSTRUCTINC A NEW BUILDING -- Minnesota Rules 7670 Cate or 1 ? Mj??esota Rules 7672 Energy Cade Category 0 Residentsal Ventilatian Categary 7 Worksheet • New Energy Code Worksheef (4 submission type) Submitted Su6mitted . Energy Envelope Calculations SubmiYted In the last 12 months, has ihe City of Eagan issued a permit for a similar p6an based on a master plan? Y _ N if yes, date and address of mastef plan: Licensed Plumber Mechanical Confiractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is eomplete and accurate; that the work will be in eonforrnance with the ordinances and codes of the City af Eagan and the State of MN Statutes; I understand this is not a perrnit, but only an application for a permit, and work is not tcs start without a perrnit; that the work wil] be in accordance with the approved plar? in the case of work which requires a review and approval af plans. A Applacant's Printed Name icant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvnes ? 01 Foundation ? 42 SF Dwe[ling ? 43 01 of _ plex ? 04 02-plex ? 05 03-plex 0 06 p4-plex 0 07 05-plex ? 08 06-plex ? 09 A7-plex ? 10 08-pfex ? 1/ 10-pEex CI 12 12-pEex ? 13 16-plex 13 16 Fireplace ? 17 Garage ? 18 Qedc ? 19 Lower Level ? 20 Pool ? 30 Access.oryBldg ? 21 Poroh (3-sea.) ? 31 Exk. Alt- Multi 0 22 PorchlAddn. (4sea.) 0 33 Ex#. Alt - SF C] 23 Porch (screenlgazebolpergola) ? 36 Mulfi Misc. ? 24 Storm damage ? 26 Miscellaneaus Work Tvoes G 31 hlew ? 32 AdrJitian ? 33 Alteration 0 34 Replacement 0 35 In# lmpravemeM ? 38 Demolish Interior 0 44 5iding ? 36 Move Buiiding ? 42 Demolish Foundatian ? 45 Fire Repair ? 37 Demalish Building" ? 43 Reroaf ? 48 Windows/Doors *Demnlution (Entire Bldg) - Give PCA handout to applicant Description: WaterDamage Yes Valuation C?ccupancy MCES System Plan Review 100% or 25% Census Code Zoning Cify Water SAC llnits Stories Booster Pump # of llnits $q. F#. PRV # of Bldgs Length Fire Sprinklered Type of Const Wdth . REQUMD IlVSPECTI4NS _ Footings (new bldg) _ Sheetrock _ Footings (deck) v FinallC.O. _ Footings (addition) - Final/No C.O. Foundation HVA C Drain Tile Qther Roof Ice & Water Final Pool. Ftgs _ AirlGas Tests Final _ _ _ Framing _ _ Siding _ Stucco Lath _ Stane Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee . Surcharge Plan Review MClES SAC City SAC Utifity Connection Charge . S&W Permit & 5uroharge 7reatment Rlant License Search Copies • Other Total _ ? PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108768 Date Issued:01/09/2013 Permit Category:ePermit Site Address: 3242 Black Oak Dr Lot:3 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-030 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L Feely 3242 Black Oak Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA140211 Date Issued:12/01/2016 Permit Category:ePermit Site Address: 3242 Black Oak Dr Lot:3 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L Feely 3242 Black Oak Dr Eagan MN 55122 (651) 325-8442 Property Claim Solutions LLC 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142328 Date Issued:04/26/2017 Permit Category:ePermit Site Address: 3242 Black Oak Dr Lot:3 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L Feely 3242 Black Oak Dr Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145911 Date Issued:09/28/2017 Permit Category:ePermit Site Address: 3242 Black Oak Dr Lot:3 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James L Feely 3242 Black Oak Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165836 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 3242 Black Oak Dr Lot:3 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-030 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Diane Lynn Feely Living Trust 3242 Black Oak Dr Saint Paul MN 55121 Guardian Services Contracting 1042 20th Ave N South St Paul MN 55075 (800) 617-8450 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168071 Date Issued:04/08/2021 Permit Category:ePermit Site Address: 3242 Black Oak Dr Lot:3 Block: 8 Addition: Bur Oak Hills 2nd PID:10-15501-08-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Diane Lynn Feely 3242 Black Oak Dr Eagan MN 55121 (651) 325-8442 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature